first call of the day is...

D.O.S. Leo and JP got there fast not a long wait nice change
 
Rollover. Truck was destroyed, two pts had a few lacs on hands. Not sure how that works. Seatbelts saved them.
 
CT scan roubd trip for local hospital
 
Motorcycle rider down at ~80mph. Non injury.
 
Diabetic seizure with a hx of brain cancer. BS was 497. Followed by 2 month old resp arrest, updated to CPR in progress, to find a perfect infant laughing and smiling at EMS on scene. The best call right there
 
Woundcare appt
 
Priest with chest pain. Let me tell you how careful I chose my words when asking about ED meds before the Nitro.....
 
Burritomedic1127 said:
Priest with chest pain. Let me tell you how careful I chose my words when asking about ED meds before the Nitro.....
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"Father, have you taken any meds that help to elevate the Holy Spirit, if ya know what I mean"

Priest, looking confused. "No, I don't know what you mean."

"Ehh...Never mind. Any cialis, levitra or Viagra in the last 24 hours?"

Hahah. I can see this in my mind and I'm still laughing.
 
had a 23 day old arrest the other morning. 38 week premie. No fun.
 
DEmedic said:
"Father, have you taken any meds that help to elevate the Holy Spirit, if ya know what I mean"

Priest, looking confused. "No, I don't know what you mean."

"Ehh...Never mind. Any cialis, levitra or Viagra in the last 24 hours?"

Hahah. I can see this in my mind and I'm still laughing.
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Exactly haha. Definitely had to refine my questions and lock it up
 
14 y/o male playing hockey. Shoved from behind face first into the boards. No LOC (helmets are a good thing). C/O neck pain.
 
58 y/o female with sudden cardiac arrest. She was jogging in a park when it happened too, regular runner. No significant PMH.
 
Dialysis
 
DEmedic said:
ROSC?
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Regretfully, no. The whole situation was just weird though. Without going into too much detail, EMS found her in her car in the parking lot of the park unresponsive. They worked her 20 mins on scene and en route to ED. We worked her an additional 45. The only thing that we don't know is downtime on scene. We guess approximately 20 minutes, which may have been a deciding factor.

BTW For people who say don't transport codes en route and etc., transport to our ED acted as a bridge to potentially life saving, definitive treatment not available in the field. In this case, evaluation for ECMO. Yes, our ED has a protocol in place and yes, in this specific case, critical care and cardiac surgery came down to the resus bay and evaluated the pt. for ECMO. They opted not to utilize it but still...
 
If you have mechanical CPR during transport that makes sense. If it's manual, well we all know the efficacy of that in a moving unit.
 
Burritomedic1127 said:
Our medical directors trust us but they don't see eye to eye. Ones old with old school approach the other is younger with more relevant progressive protocols.



Could have tried but who knows with the laryngospasms. Never actually tried nasal intubation. Also currently our med control docs frown on nasal intubation (this month)
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We actually really seem to emphasize it here at Acadian. Even have the nasal stethoscopes and endotrol tubes.
 
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